Management of Low-Flow Priapism Using the Winter Procedure: A Case Report
Priapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2003-02-01
|
| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09704553 |
| _version_ | 1818297317507203072 |
|---|---|
| author | Chung-Chin Chen Chii-Jye Wang Yung-Chin Lee Yii-Her Chou Chun-Hsiung Huang |
| author_facet | Chung-Chin Chen Chii-Jye Wang Yung-Chin Lee Yii-Her Chou Chun-Hsiung Huang |
| author_sort | Chung-Chin Chen |
| collection | DOAJ |
| description | Priapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment of idiopathic low-flow priapism using the Winter procedure. Initial treatment consisted of aspiration and intracavernous irrigation with iced saline and a vasoconstrictive agent, but in vain. We then performed the Winter procedure, in which fistulas between the corpora cavernosa and the glans penis were created. This resulted in the simultaneous detumescence of the penis, without complication. The erectile function of the penis was normal 1 year after the procedure. This case shows that idiopathic low-flow priapism can be successfully treated using the Winter procedure when conservative treatment fails. |
| first_indexed | 2024-12-13T04:17:31Z |
| format | Article |
| id | doaj.art-0cf0b8f1ca70451a956ced136eff743a |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-13T04:17:31Z |
| publishDate | 2003-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-0cf0b8f1ca70451a956ced136eff743a2022-12-21T23:59:51ZengWileyKaohsiung Journal of Medical Sciences1607-551X2003-02-01192889110.1016/S1607-551X(09)70455-3Management of Low-Flow Priapism Using the Winter Procedure: A Case ReportChung-Chin ChenChii-Jye WangYung-Chin LeeYii-Her ChouChun-Hsiung HuangPriapism is a prolonged penile erection that is unrelated to sexual stimulation. Low-flow priapism has been associated with sickle cell disease and other hemoglobinopathies, neoplastic syndrome, anticoagulant therapy, psychotropic medication, and idiopathic causes. We report the successful treatment of idiopathic low-flow priapism using the Winter procedure. Initial treatment consisted of aspiration and intracavernous irrigation with iced saline and a vasoconstrictive agent, but in vain. We then performed the Winter procedure, in which fistulas between the corpora cavernosa and the glans penis were created. This resulted in the simultaneous detumescence of the penis, without complication. The erectile function of the penis was normal 1 year after the procedure. This case shows that idiopathic low-flow priapism can be successfully treated using the Winter procedure when conservative treatment fails.http://www.sciencedirect.com/science/article/pii/S1607551X09704553low-flow priapismWinter procedure |
| spellingShingle | Chung-Chin Chen Chii-Jye Wang Yung-Chin Lee Yii-Her Chou Chun-Hsiung Huang Management of Low-Flow Priapism Using the Winter Procedure: A Case Report Kaohsiung Journal of Medical Sciences low-flow priapism Winter procedure |
| title | Management of Low-Flow Priapism Using the Winter Procedure: A Case Report |
| title_full | Management of Low-Flow Priapism Using the Winter Procedure: A Case Report |
| title_fullStr | Management of Low-Flow Priapism Using the Winter Procedure: A Case Report |
| title_full_unstemmed | Management of Low-Flow Priapism Using the Winter Procedure: A Case Report |
| title_short | Management of Low-Flow Priapism Using the Winter Procedure: A Case Report |
| title_sort | management of low flow priapism using the winter procedure a case report |
| topic | low-flow priapism Winter procedure |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09704553 |
| work_keys_str_mv | AT chungchinchen managementoflowflowpriapismusingthewinterprocedureacasereport AT chiijyewang managementoflowflowpriapismusingthewinterprocedureacasereport AT yungchinlee managementoflowflowpriapismusingthewinterprocedureacasereport AT yiiherchou managementoflowflowpriapismusingthewinterprocedureacasereport AT chunhsiunghuang managementoflowflowpriapismusingthewinterprocedureacasereport |